Provider Demographics
NPI:1922256916
Name:PALOMBA, LINDSEY MYRA
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MYRA
Last Name:PALOMBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:949 2ND AVE N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5808
Mailing Address - Country:US
Mailing Address - Phone:239-403-0400
Mailing Address - Fax:239-261-9615
Practice Address - Street 1:949 2ND AVE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5808
Practice Address - Country:US
Practice Address - Phone:239-403-0400
Practice Address - Fax:239-261-9615
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13301225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist